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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000257

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marie JeanneThibault Sex Female

Date of Birth January 13, 1921 Place of Birth DoucettevilleCounty of Digby

Name of Father Winnifred Thibault MAIDEN NAME of Mother Zeni Robichaud

Were the Parents married at the time of the Birth? Yes

Residence of Father when child was born Doucetteville Present address of Father deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Doucetteville

Race French Name and present address of Physician in attendance at birth

Signature of Applicant J.B. Ward Address of Applicant 11 Margate Drive, Halifax Date 17 June 1958

Relationship of Applicant to child Husband

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marie JeanneThibault

Born at Doucetteville in the County of Digby

That Marie JeanneThibault Whose Birth is sought to be registered was

born at Doucetteville Digby County on January 13, 1921

My knowledge of the fact and date of such Birth is based on the following Circumstances:

Baptismal Certificate

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